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Preferences for Delivering Brief Alcohol Intervention to Risky Drinking Parents in Children's Social Care: A Discrete Choice Experiment.
Alcohol and Alcoholism ( IF 2.1 ) Pub Date : 2022-09-10 , DOI: 10.1093/alcalc/agac018
R McGovern 1 , T Homer 1 , E Kaner 1 , D Smart 1 , L Ternent 1
Affiliation  

AIMS Many parents in contact with children's social care services misuse alcohol however do not meet the threshold for specialist alcohol treatment, and typically do not receive appropriate support for their needs. Brief alcohol interventions have been found to be effective in healthcare settings, however, it is unknown whether the brief intervention structure delivered within health settings would transfer well into children's social care. This paper aims to examine the characteristics of brief intervention for alcohol misusing parents which social care practitioners consider to be important and acceptable to implement in this sector. METHODS We assessed preferences for, and acceptability of, brief alcohol intervention with parents in contact with children's social care using a discrete choice experiment. We recruited 205 children's social care practitioners from London and the North East of England. Data were analysed using mixed logit which accounted for repeated responses. FINDINGS Six attributes showed statistically significant coefficients, suggesting that a brief intervention with these attributes would encourage implementation. These were: level of alcohol-related risk targeted; intervention recipient; timing of intervention; duration of sessions; number of sessions and intervention structure. The attribute of most importance identified based on the attribute with the largest coefficient in the conditional logit model was risk level. CONCLUSIONS Brief alcohol interventions delivered to parents in social care should focus on the impact upon children and the wider family, they should be a flexible part of on-going casework and should be more intensive and less structured.

中文翻译:

在儿童社会关怀中对有风险饮酒的父母进行简短酒精干预的偏好:一项离散选择实验。

目标 许多与儿童社会关怀服务机构接触的父母滥用酒精,但不符合专业酒精治疗的门槛,并且通常没有得到满足他们需求的适当支持。已发现简短的酒精干预在医疗保健环境中是有效的,但是,尚不清楚在医疗保健环境中提供的简短干预结构是否会很好地转移到儿童的社会护理中。本文旨在研究对滥用酒精的父母进行简短干预的特征,社会护理从业者认为这些特征在该部门实施是重要且可接受的。方法 我们使用离散选择实验评估了与父母接触儿童社会关怀的简短酒精干预的偏好和可接受性。我们从伦敦和英格兰东北部招募了 205 名儿童社会护理从业人员。使用解释重复响应的混合 logit 分析数据。结果 六个属性显示出统计学上显着的系数,表明对这些属性的简短干预将鼓励实施。这些是: 目标酒精相关风险水平;干预接受者;干预时机;会议持续时间;会议次数和干预结构。基于条件logit模型中系数最大的属性识别出的最重要的属性为风险等级。结论 在社会关怀中向父母提供的简短酒精干预应侧重于对儿童和更广泛的家庭的影响,
更新日期:2022-04-21
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